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General NPI Number Information
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NPI Number | 1558465526
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Entity Type | Organization
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Legal Business Name | ULTIMA CARE PHCY INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 06/27/2016
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Provider Practice Location Address
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Address Line | 16251 S POST OAK RD STE A
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City | HOUSTON
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State | TX
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Zip | 77053-4397
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Country | US
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Telephone | 281-438-6161
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Fax | 281-438-6060
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Provider Business Mailing Address
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Address Line | 16251 S POST OAK RD STE A
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City | HOUSTON
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State | TX
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Zip | 77053-4398
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Country | US
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Telephone | 281-438-6161
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Fax | 281-438-6060
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Authorized Official
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Title or Position | PIC
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Name | SHANTELL WILLIAMS
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Credential | RPH
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Telephone | 281-431-7119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25081
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License Number State | TX
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